Individual
JOSE MANUEL MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
15920 S RANCHO SAHUARITA BLVD, SUITE 160, SAHUARITA, AZ 85629-8012
(520) 867-8064
(520) 867-8063
Mailing address
15920 S RANCHO SAHUARITA BLVD, SUITE 160, SAHUARITA, AZ 85629-8012
(520) 867-8064
(520) 867-8063
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-01325P
AZ
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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